The Arab Journal of Interventional Radiology最新文献

Keynote PAIRS2024: The Diamond Jubilee of Interventional Radiology, Reflection on the Era of Modernizing Medicine: Our Wins, Losses, and Future Opportunities… PAIRS2024 主题演讲：介入放射学的钻石周年纪念，医学现代化时代的反思：我们的得失与未来机遇...

The Arab Journal of Interventional Radiology Pub Date : 2024-06-13 DOI: 10.1055/s-0044-1787694

Mo Hamady

引用次数: 0

Complication Rate of Percutaneous Balloon-Retention versus Locking-Loop Gastrostomy and Gastrojejunostomy Tube Insertion: A Comparison from a Canadian Tertiary Care Centre 经皮球囊复位与锁环式胃造瘘管和胃空肠造瘘管插入的并发症发生率：加拿大一家三级医疗中心的比较结果

The Arab Journal of Interventional Radiology Pub Date : 2024-06-12 DOI: 10.1055/s-0044-1786829

Ian Y. M. Chan, Ibrahim Abdulaziz Alghamdi, Daniel Schep, Sandra Sabongui, Sarah Krause, David Hocking, Daniele Wiseman

{"title":"Complication Rate of Percutaneous Balloon-Retention versus Locking-Loop Gastrostomy and Gastrojejunostomy Tube Insertion: A Comparison from a Canadian Tertiary Care Centre","authors":"Ian Y. M. Chan, Ibrahim Abdulaziz Alghamdi, Daniel Schep, Sandra Sabongui, Sarah Krause, David Hocking, Daniele Wiseman","doi":"10.1055/s-0044-1786829","DOIUrl":"https://doi.org/10.1055/s-0044-1786829","url":null,"abstract":"Abstract Purpose The aim of this study is to compare 30-day complications, procedure-related mortality, and overall mortality rates for de novo enteral feeding tube insertion with fluoroscopy-guided percutaneous balloon-retention versus traditional locking-loop tubes. Methods A retrospective analysis was conducted on adult patients who underwent fluoroscopically guided gastrostomy or gastrojejunostomy tube insertions at two tertiary care centers. We categorized complications based on the Society of Interventional Radiology Standards of Practice for Gastrointestinal Access. Factors including the indication for the procedure, the number of gastropexy anchors, and the tube size were analyzed. Statistical analysis was performed using chi-square tests, and the results were compared with patients who underwent locking loop insertions. Results A total of 118 patients underwent percutaneous balloon-retention gastrostomy (BRG) or gastrojejunostomy (BRGJ) tube insertions in 2018. These were compared with 559 adult patients who had locking loop insertions at the same institutions from 2011 to 2014. Minor and major complications were higher for the balloon-retention tubes for both BRG (minor: 40.8% vs 4.7%, p < 0.001; major: 1.4% vs 1.2%, p = 0.891) and BRGJ tubes (minor: 80.9% vs 11.8%, p < 0.001; major: 12.8% vs 1.7%, p < 0.001). Complications were lowest with two gastropexy anchors and highest with three anchors. The 12-F and 14-F balloon-retention tubes had similar complication rates. Although not statistically significant, the balloon-retention tubes were associated with higher procedure-related deaths (1.7% vs 0.7%, p = 0.300) and all-cause mortality (9.3% vs 5.9%, p = 0.171). Conclusion Percutaneous BRG or BRGJ tubes had significantly higher 30-day complication rates. There was no significant difference in the 30-day mortality rate.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"138 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141350691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prophylactic Antibiotic Use Prior to Port Placement and Its Effect on Insertion-Related Infection Rates: A Five-Year Retrospective Review 移植前预防性使用抗生素及其对插入相关感染率的影响：五年回顾性研究

The Arab Journal of Interventional Radiology Pub Date : 2024-02-29 DOI: 10.1055/s-0044-1779492

Hubert E. Smith, S. Sabri, Neil K. Jain, Zuby J. Seyed, Quang H. Nguyen, Donna C. Buckley

{"title":"Prophylactic Antibiotic Use Prior to Port Placement and Its Effect on Insertion-Related Infection Rates: A Five-Year Retrospective Review","authors":"Hubert E. Smith, S. Sabri, Neil K. Jain, Zuby J. Seyed, Quang H. Nguyen, Donna C. Buckley","doi":"10.1055/s-0044-1779492","DOIUrl":"https://doi.org/10.1055/s-0044-1779492","url":null,"abstract":"\u0000 Purpose The aim of this study was to compare insertion-related port infection rates between patients who received intraprocedural prophylactic antibiotics versus those who did not.\u0000 Materials and Methods All patients who underwent port insertion by interventional radiology from 7/1/ 2015 through 7/1/2020 at a single U.S.-based Health System were identified using electronic medical records database. During this period, 2,099 patients underwent port placement at three hospitals within the same health system. One-thousand sixty-three patients who underwent port placement at one hospital received periprocedural antibiotics and 1,036 patients at the two other hospitals did not receive antibiotics. Retrospective data were reviewed on each patient including demographics, reason for port insertion, and evidence of port infection. All relevant data up to 30 days postinsertion were reviewed, including blood cultures, unplanned readmissions, emergency room visits, and clinic visits. Qualitative trends were evaluated for various subgroups including presence of bacteremia, time from insertion, and demographics. Patients with an obvious external source of infection were excluded.\u0000 Results Insertion-related infection rate was 0.9% for the entire cohort, 1.23% for the antibiotic group, and 0.68% for the nonantibiotic group. The insertion-related infection for adult patients was 0.88% for the antibiotic group and 0.68% for the nonantibiotic group. The pediatric insertion-related infection rate was 7.69%, all of whom received intravenous antibiotics. No other clear qualitative differences were noted for analyzed subgroups.\u0000 Conclusion This study demonstrates low insertion-related port infection rate with no clinically significant difference between the groups that did or did not receive antibiotics. Subgroup analysis showed an exceptionally high infection rate in the pediatric population despite receiving preprocedure antibiotics.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140412165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ischemic Stroke Post-Transradial Chemoembolization 经桡动脉化疗栓塞术后缺血性中风

The Arab Journal of Interventional Radiology Pub Date : 2024-02-29 DOI: 10.1055/s-0044-1779493

A. Justaniah, Mohamed A. Omar, Abdulaziz M. Tashkandi

引用次数: 0

Minimizing the Pain of Local Anesthesia Administration in Interventional Radiology with an Anesthetic Portal Technique 利用麻醉门户技术将介入放射学局部麻醉的疼痛降至最低

The Arab Journal of Interventional Radiology Pub Date : 2024-02-29 DOI: 10.1055/s-0044-1781452

Dylan Suttle, Virpal Gill, D. Sheeran, N. Keefe, Claire Davis, James Patrie, J. Angle

{"title":"Minimizing the Pain of Local Anesthesia Administration in Interventional Radiology with an Anesthetic Portal Technique","authors":"Dylan Suttle, Virpal Gill, D. Sheeran, N. Keefe, Claire Davis, James Patrie, J. Angle","doi":"10.1055/s-0044-1781452","DOIUrl":"https://doi.org/10.1055/s-0044-1781452","url":null,"abstract":"\u0000 Objective This article assesses the effectiveness of a standardized local anesthetic (LA) technique designed to minimize the pain of local anesthesia administration in interventional radiology (IR).\u0000 Materials and Methods A prospective study compared participants' experience in a control group (n = 63) of random LA administration techniques to a separate experimental group (n = 60) with a standardized technique based on known methods to minimize the pain of LA. Participants in each group were surveyed after LA administration to assess perceived pain and number of times a painful stick was felt. Participants were also asked to compare LA pain to prior experiences with LA, and to compare the overall pain experienced during the procedure to expected pain.\u0000 Statistical Analysis Ordinal variable distribution analyses were performed using the Wilcoxon rank sum test. Categorical variable analyses were performed with the Pearson's global exact chi-square test.\u0000 Results Pain of LA (mean 1.1 vs. 3.3 on a 0–10 scale, p < 0.001), number of times a painful stick was felt (mean 0.8 vs. 1.9 times, p < 0.001), and overall pain during the procedure (mean 1.5 vs. 3.4 on 0–10 scale, p < 0.001) were significantly less using the standardized versus random techniques. Compared with prior experiences of LA, pain using the standardized technique was less in 77.6%, the same in 22.4%, and more in 0% of patients while pain using the random technique was less in 46.4%, the same in 39.3%, and more in 14.3% of patients (p < 0.05).\u0000 Conclusion Severity and frequency of pain from LA administration in IR procedures is minimized using a standardized anesthetic portal technique. This technique may also decrease overall pain experienced during IR procedures as well.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"15 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140410735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Literature Review of Infracolic Gastrostomy Techniques and Outcomes 下腔静脉胃造口术技术和结果的文献综述

The Arab Journal of Interventional Radiology Pub Date : 2023-12-18 DOI: 10.1055/s-0043-1777270

Sana Rashid, Harun Jalil, Alaaeldin Ginawi, Oleg Mironov, Syed Umair Mahmood

{"title":"A Literature Review of Infracolic Gastrostomy Techniques and Outcomes","authors":"Sana Rashid, Harun Jalil, Alaaeldin Ginawi, Oleg Mironov, Syed Umair Mahmood","doi":"10.1055/s-0043-1777270","DOIUrl":"https://doi.org/10.1055/s-0043-1777270","url":null,"abstract":"Abstract Percutaneous radiologic gastrostomies are traditionally done using a supracolic approach due to the perceived increased risk of postprocedural hemorrhage associated with an infracolic approach. Many interventional radiologists will decline attempts at placing a gastrostomy tube in situations of colonic interposition, requiring patients to undergo surgery. The goal of this review was to understand the safety and technique of infracolic gastrostomies to assess the validity of these concerns. There were 12 cases of infracolic gastrostomies identified across two retrospective studies and one case report. All gastrostomy tubes were inserted successfully with no abandoned procedures with the only minor variation in technique being that the colon was displaced superiorly as opposed to inferiorly like in the traditional supracolic approach. Across the two retrospective studies, the percentage of infracolic gastrostomies done during the study period was 1.18% (6 out of 508) and 0.43% (5 out of 1,156). There were no immediate postprocedural complications reported in the study done with six patients who underwent infracolic gastrostomies, but there were two deaths during the follow-up period, both of which were attributed to disease progression. In the study with five patients who had undergone infracolic gastrostomies, there was one minor complication of site soreness along with one case of death due to sepsis secondary to aspiration of the barium contrast used to delineate the colon prior to the procedure. This is a rare complication that can occur when a barium swallow is done, especially in this case where the patient was older and had comorbidities that increased the aspiration risk. Evidently, infracolic gastrostomies have been inserted in the past with minimal complications. However, due to the limited sample size, the safety of this technique cannot be established without future prospective studies.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138994876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CT and Angiographic Findings among COVID-19-Positive Patients Presenting with Stroke and Their Outcomes covid -19阳性脑卒中患者的CT和血管造影表现及其预后

The Arab Journal of Interventional Radiology Pub Date : 2023-11-13 DOI: 10.1055/s-0043-1775991

Noor Badrawi, Noon Elawad, Amritendu Mukherjee, Ahmad Abdel Muhdi, Ayman Al-Sibaie

{"title":"CT and Angiographic Findings among COVID-19-Positive Patients Presenting with Stroke and Their Outcomes","authors":"Noor Badrawi, Noon Elawad, Amritendu Mukherjee, Ahmad Abdel Muhdi, Ayman Al-Sibaie","doi":"10.1055/s-0043-1775991","DOIUrl":"https://doi.org/10.1055/s-0043-1775991","url":null,"abstract":"Abstract Background The study aims to assess and compare the computed tomographic and angiographic findings and clinical outcomes among coronavirus disease 2019 (COVID-19)-positive and COVID-19-negative patients. Methods We conducted a retrospective study of all patients presenting with acute stroke to our facility between March 2020 and October 2021. Demographics, risk factors, COVID-19 status, National Institute of Health Stroke Scale (NIHSS), mode of treatment, length of hospital stay, imaging findings, and angiographic and clinical outcomes were extracted from electronic medical records. Descriptive statistics were used to summarize the data. Pregnant patients, those under the age of 18, and those found to have an alternative diagnosis were excluded. We identified 103 patients with acute stroke who underwent thrombolysis and/or mechanical thrombectomy, 16 of whom were found to be COVID-positive (study group), while 87 of them had negative status (control group). Result The mean age of both groups (COVID-19 positive and COVID-19 negative) was 56 years, and 85% were male. The most frequently involved vessel was the M1 segment of the middle cerebral artery (37% in COVID-19-positive patients vs. 41% in COVID-19-negative patients). Sixty-one patients underwent thrombectomy, and both groups had comparable successful recanalization. Patients with COVID-19 infection were more likely to have a more extended hospital stay and a higher average NIHSS score at discharge. Conclusion Our study shows that ischemic stroke in COVID-19 occurs in predominantly male patients, with the middle cerebral artery being the most frequently involved vascular territory. Furthermore, there is a longer hospital stay and worse morbidity regardless of the mode of treatment and imaging findings in COVID-19-positive patients.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136348882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Limb Ischemia Secondary to Inadvertent Intravascular Angio-Seal Closure Device Deployment 不慎使用血管内封闭装置引起的肢体缺血

The Arab Journal of Interventional Radiology Pub Date : 2023-11-13 DOI: 10.1055/s-0043-1774805

Almamoon I. Justaniah, Ahmad T. Alharbi

引用次数: 0

The Incidence of Ischemic Cholecystitis after Prophylactic Cystic Artery Embolization: A Single-Center Retrospective Study 预防性囊性动脉栓塞后缺血性胆囊炎的发生率:一项单中心回顾性研究

The Arab Journal of Interventional Radiology Pub Date : 2023-11-13 DOI: 10.1055/s-0043-1774804

Benjamin J. Walker, Michael Lung, Hanin Lataifeh, Aditi Patel, Ibrahim Abukhiran, Mohammad Amarneh

{"title":"The Incidence of Ischemic Cholecystitis after Prophylactic Cystic Artery Embolization: A Single-Center Retrospective Study","authors":"Benjamin J. Walker, Michael Lung, Hanin Lataifeh, Aditi Patel, Ibrahim Abukhiran, Mohammad Amarneh","doi":"10.1055/s-0043-1774804","DOIUrl":"https://doi.org/10.1055/s-0043-1774804","url":null,"abstract":"Abstract Background Prophylactic cystic artery embolization (CAE) is used to prevent radiation cholecystitis in patients undergoing transarterial radioembolization (TARE), but the incidence of ischemic cholecystitis following CAE remains unclear. Purpose This retrospective study aimed to determine the incidence of ischemic cholecystitis after prophylactic CAE prior to TARE. Methods The medical records of 22 patients who underwent CAE prior to TARE between 2002 and 2021 were reviewed. Patients were assessed for evidence of acute cholecystitis and gallbladder imaging changes after the procedure. Results Four out of the 22 patients (18.2%) developed cholecystitis after CAE, and two of these patients showed evidence of microsphere deposition consistent with radiation cholecystitis. Excluding these two patients, the incidence of ischemic cholecystitis was 9.1%. Additionally, 8 out of 22 patients (36.4%) developed gallbladder imaging changes after the embolization. Conclusion The incidence of ischemic cholecystitis following CAE is comparable, if not greater than the risk of radiation cholecystitis without prophylactic embolization. Further research is necessary to better understand the risk factors associated with the development of cholecystitis after CAE and to inform recommendations for future preventative measures.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"52 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136348901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Single-Session Thrombectomy without Thrombolysis for Iliofemoral Deep Vein Thrombosis: A Single-Center Experience of ClotTriever with Evaluation of Predictors for Reocclusion 髂股深静脉血栓的单次取栓不溶栓:clottriver的单中心经验与再闭塞预测因素的评估

The Arab Journal of Interventional Radiology Pub Date : 2023-11-13 DOI: 10.1055/s-0043-1775992

Qian Yu, Daniel Kwak, Patrick Tran, Ethan Ungchusri, Bowen Wang, Syed Samaduddin Ahmed, Adam Said, Mikin Patel, Jonathan Lorenz, Osman Ahmed

{"title":"Single-Session Thrombectomy without Thrombolysis for Iliofemoral Deep Vein Thrombosis: A Single-Center Experience of ClotTriever with Evaluation of Predictors for Reocclusion","authors":"Qian Yu, Daniel Kwak, Patrick Tran, Ethan Ungchusri, Bowen Wang, Syed Samaduddin Ahmed, Adam Said, Mikin Patel, Jonathan Lorenz, Osman Ahmed","doi":"10.1055/s-0043-1775992","DOIUrl":"https://doi.org/10.1055/s-0043-1775992","url":null,"abstract":"Abstract Objective The aim of this study was to determine the effectiveness of a mechanical thrombectomy device in treating iliofemoral deep vein thrombosis (DVT) without thrombolysis and factors associated with post-thrombectomy occlusion. Methods A single-institution retrospective study of consecutive patients who underwent mechanical thrombectomy for iliofemoral DVT using the Inari ClotTriever device was performed from August 2019 to July 2022 without thrombolysis or aspiration. Pre- and post-thrombectomy modified Marder score, symptomatic relief, and other baseline characteristics were evaluated. Occlusion rate was evaluated by clinical symptoms and imaging studies during follow-up. Occlusion-free survival (OFS) was calculated. Factors associated with OFS were evaluated with log-rank tests and cox-proportional hazard ratio model. Procedure-related complications were reported. Results Among 32 included patients and 45 limbs, the mean Marder score decreased from 17.5 ± 8.1 to 0.13 ± 0.89 after thrombectomy. Stenting was needed in 13 patients (40.6%). No procedure-related major complication was observed postprocedurally. At initial follow-up, symptomatic improvement and occlusion-free patency were achieved in 80.0 and 72.2%, respectively. Poor venous inflow on post-thrombectomy venogram (p < 0.05) was associated with early occlusion. Suboptimal use of post-thrombectomy anticoagulation (n = 7) was the only independent predictor of clinical and radiological OFS (p = 0.042). Conclusion Mechanical thrombectomy with ClotTriever is safe and effective in the treatment of acute and/or subacute iliofemoral DVT and can mitigate the need for thrombolytic therapy. Poor venous inflow on post-thrombectomy venogram and suboptimal use of anticoagulation were associated with early reocclusion.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"51 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136348905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0